Individual
GLORIA COATS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
917 W LINCOLN ST, CARO, MI 48723-1460
(989) 670-6885
Mailing address
917 W LINCOLN ST, CARO, MI 48723-1460
(989) 670-6885
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN-159270-M-IV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4703119009
MI NURSING
MI
Enumeration date
12/10/2015
Last updated
07/15/2020
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